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December 18, 1972

Artificial Organs and Cardiopulmonary Support Systems

JAMA. 1972;222(12):1563. doi:10.1001/jama.1972.03210120055024

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A wide experience in development of the artificial kidney, lung, and heart for clinical application is gathered together in this slim volume. Its 23 papers and wise summation by John Merrill give a needed interpretation of the field of artificial organs as viewed at the end of 1971. Lasting value is enclosed in the views of Belding Scribner at the beginning and Merrill's closing remarks at the end.

Scribner draws upon his vast experience to detail a precise past relationship and future applicability of renal dialysis and kidney transplantation in treating patients with kidney failure. His prophetic remarks show clearly how institution of early treatment, avoidance of blood transfusions, and adherence to a life plan for each patient allow individualization of care without blind acceptance of renal dialysis or of transplantation for total renal failure. He is able to elucidate clearly the controversial problems of contraindications to transplantation and limitations